Surgery.

Date:: [1913]

Catalogue details

Licence: In copyright

Credit: Surgery. Source: Wellcome Collection.

267/412 (page 237)

Give the Main Surgical Causes of Hcematuria. A. Upper Urinary Tract —Kidney and Ureter B. Middle Urinary Tract —Bladder and Prostate r A (a) Trauma. (h) Calculi. (c) Tuberculosis. (d) Neoplasms, especially hyper- nephroma. (e) Bilharzia. f (a) Trauma. (6) Calculi. | (c) Tuberculosis. (d) Carcinoma. | (e) Papillomata. | (/) Acute cystitis or prostatitis. {g) Enlarged prostate. C. Lower Urinary Tract —Urethra . . j i (a) Trauma. (b) Calculi. (c) Rupture of corpus spongi- osum. How ivould you Diagnose the Site of the Haemorrhage ? A. From Upper Urinary , Tract . . ' r t It is intimately mixed with the urine (smoky urine). Blood casts may be present. r B. From Middle Urin- ary Tract i r C. From Lower Urinary j Tract . . . j l The blood usually appears after the urine, or in the last por- tion of the urine. It is often coagulated from having col- lected for some time in the bladder. The blood comes before, or with the first portion of urine. It may flow during the intervals between micturition. Always bear in mind that haemoglobin may be present or that the colour may be due to pigment, e.g. from eating beetroot. Microscopic evidence of red cells is required for the diagnosis of haematuria. R sur.—PT. IV.